Research On The Influencing Factors Of Government Public Health Governance Performance In Border Ethnic Areas

The prevention and control of border infectious diseases is the first line of defense for imported infectious diseases and an important barrier to national health security.Among the total area of 2.12 million square kilometers of border areas in China,the area of ethnic minority areas accounts for about92%of the total area.Most of the border ethnic areas are located in mountainous areas with high altitudes.The geographically wide population distribution is sparse,the natural conditions are harsh,and the economic foundation is weak,resulting in difficult allocation of public health resources and poor governance capacity.Therefore,the public health governance of the government in the border ethnic areas of China is facing the dual challenges of heavy governance tasks and weak governance foundation.It is particularly important to optimize the public health governance in the border ethnic areas.Based on the TOE framework,transaction cost theory and resource-based theory,this paper adopts the fuzzy set qualitative comparison method(fsQCA),takes 22 border prefecture-level cities(autonomous prefectures and leagues)in border ethnic areas as case samples,and analyzes the influencing factors of government public health governance performance in border ethnic areas through three dimensions of technology,organization and environment.Four driving paths of high-level government public health governance performance and four driving paths of low-level government public health governance performance are obtained.Finally,it summarizes and forms three driving modes of high government public health governance performance with public health resource conditions as the core guarantee,information technology conditions as the core drive,and environmental conditions as the core fulcrum.The different impact paths are compared with the actual governance and policy planning of local governments.The results show that: First,the performance of government public health governance in border ethnic areas is affected by multiple factors.It is necessary to consider the linkage matching between multiple conditional factors in order to effectively improve the performance of government public health governance.Secondly,different regional governments should combine the characteristics of local technological development level,administrative development characteristics and resource advantages,consider the multi-level development direction suitable for their own conditions,and finally achieve high-level public health governance performance in a ’ different way ’.Third,when the governments of border ethnic minority areas focus on the development of the driving path in line with their own governance practice,they also need to pay attention to the ’ potential hidden dangers ’ on the path,and need to eliminate potential hidden dangers by paying attention to auxiliary conditions and other means.Fourth,high-quality organizational conditions and technical conditions are important influencing factors for the performance of high-government public health governance,while low-quality organizational conditions are the core influencing factors for the performance of low-government public health governance.Governments in border ethnic areas can focus on improving organizational conditions and technical conditions on the basis of ensuring their own advantages.Fifth,there are some differences between the policy text content and the actual governance path of the sample cities.Different cities need to find the ’ main contradictions ’ and ’ development priorities,and strengthen the scientific and targeted policy formulation.Finally,this paper puts forward four suggestions to improve the performance of public health governance in border ethnic areas.First,promote the supply-side reform of public health service resources in border ethnic areas;second,strengthen the construction of information public health service system in border ethnic areas;third,improve the construction of a modern environmental governance system in border ethnic areas;fourth,improve the effectiveness of public health governance policy formulation in border ethnic areas.